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Mass General Brigham Health Plan Inc

EIN 04-2932021 · Somerville, MA

Public records raise at least one point you should look into before giving.

What it says it does

SEE SCHEDULE O

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. How we rate

We do not score finances when yearly spending is very small or the return has too little detail. The ratios stop meaning much at that size.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. How we rate

This return does not answer enough of the governance questions to score.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. How we rate

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (1)

$2.2 billion spent. HEALTH CARE DELIVERY: MASS GENERAL BRIGHAM HEALTH PLAN (MGBHP) PROMOTES THE GENERAL WELFARE OF THE PEOPLE IN THE COMMUNITY BY FACILITATING THE DELIVERY OF COMPREHENSIVE HEALTH SERVICES ON A PREPAID BASIS TO MEMBERS AT 2,059 PRIMARY CARE LOCATIONS. FULLY INSURED MEMBERS INCLUDE 233,978 INDIVIDUALS COVERED BY MEDICAID, MEDICARE ADVANTAGE, SMALL AND LARGE EMPLOYER GROUPS AND LOW-INCOME, HIGH-RISK INDIVIDUALS. DURING 2024, MEMBERS INCURRED APPROXIMATELY 4.4 MILLION AMBULATORY ENCOUNTERS AND INCURRED 169,638 HOSPITAL PATIENT DAYS. MGBHP OFFERS MEMBERS ACCESS TO 8,385 PRIMARY CARY PHYSICIANS AND 53,275 SPECIALTY CARE PROVIDERS. SINCE 2008, MASS GENERAL BRIGHAM HEALTH PLAN HAS BEEN ACCREDITED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). THE NCQA ACCREDITATION SURVEY PROCESS INCLUDES ON- AND OFF-SITE EVALUATIONS OF OVER 60 STANDARDS AND PERFORMANCE MEASURES CONDUCTED BY A TEAM OF PHYSICIANS AND MANAGED CARE EXPERTS. NEARLY EVERY PART OF THE MASS GENERAL BRIGHAM HEALTH PLAN WAS EVALUATED INCLUDING UTILIZATION MANAGEMENT, CARE MANAGEMENT, QUALITY, MEMBER EXPERIENCE/CUSTOMER SERVICE, NETWORK OPERATIONS, POPULATION HEALTH, AND CREDENTIALING. MASS GENERAL BRIGHAM HEALTH PLAN VOLUNTARILY PURSUED NCQA ACCREDITATION AND WILL CONTINUE TO STRIVE FOR THIS RECOGNITION BECAUSE WE KNOW OUR MEMBERS DESERVE THE HIGHEST QUALITY CARE. IN THE LATEST HEALTH PLAN SURVEY RATINGS (2024), WE ACHIEVED A 4.0 OUT OF 5.0-STAR RATING FOR BOTH OUR COMMERCIAL AND MEDICAID PLANS.

Source: Form 990 for the year ending December 31, 2024, filed with the Internal Revenue Service. How we rate

Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(4) social welfare organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.
Are donations tax-deductible? Caution.
The IRS master file records contributions to this 501(c)(4) social welfare organization as not deductible.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending December 2024.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since October 1990.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.

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